评估外科住院医师定性评估中的性别偏见。
Assessing gender bias in qualitative evaluations of surgical residents.
机构信息
Washington University School of Medicine, St. Louis, MO, United States.
Stanford University, Stanford, CA, United States.
出版信息
Am J Surg. 2019 Feb;217(2):306-313. doi: 10.1016/j.amjsurg.2018.09.029. Epub 2018 Sep 29.
BACKGROUND
There are notable disparities in the training, recruitment, promotion, and evaluation of men and women in surgery. The qualitative assessment of surgical residents may be implicitly gender biased.
METHODS
We used inductive analysis to identify themes in written evaluations of residents. We also performed a content analysis of words fitting previously defined communal, grindstone, ability, and standout categories.
RESULTS
Differences in themes that emerged from evaluations of male and female residents were notable regarding overall performance, references to the future, professional competency, job domains, disposition and humanism, and overall tone of evaluations. Comments about men were more positive than those about women, and evaluations of men included more standout words.
CONCLUSIONS
The more positive evaluations of men may handicap women if they are seen as less likely to perform well based on these evaluations. These differences suggest that implicit bias may play a role in the qualitative evaluation of surgical residents.
背景
在外科领域，男性和女性在培训、招聘、晋升和评估方面存在显著差异。对外科住院医师的定性评估可能存在隐含的性别偏见。
方法
我们使用归纳分析来确定住院医师书面评估中的主题。我们还对符合先前定义的社区、磨砺石、能力和突出类别相关的词语进行了内容分析。
结果
对男性和女性住院医师评估中出现的主题差异在整体表现、对未来的参考、专业能力、工作领域、性格和人文关怀以及评估的整体语气方面非常明显。对男性的评价比对女性的评价更为积极，对男性的评价中包含更多的突出词语。
结论
如果这些评价被视为女性表现不佳的可能性更大，那么对男性的更积极评价可能会对女性造成不利影响。这些差异表明，隐含的偏见可能在外科住院医师的定性评估中发挥作用。
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